Elevação da lipase e amilase no doente crítico: estudo retrospectivo

Ferreira, Margarida; Coelho, Regina; Luzio, J L; Coutinho, Paula

doi:10.1590/s0103-507x2008000400008

Cited by 4 publications

(2 citation statements)

References 16 publications

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“…Acute pancreatitis is, however, very rare and potentially fatal [12]. In a review of literature few reports on acute pancreatitis in rickettsiosis are found [14]. Recently, Ivan Baltadzhieva et al in Bulgaria reported 4 cases of MSF with acute pancreatitis [15].…”

Section: Discussionmentioning

confidence: 99%

Mediterranean Spotted Fever with an Acute Pancreatitis

ELFane¹,

Sodqi²,

Jebbar³

2016

J Antimicrob Agents

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Mediterranean spotted fever (MSF) is a tick-borne acute febrile disease caused by Rickettsia conorii characterized by fever, maculo-papular rash and a black eschar at the site of the tick bite (tache noire). Acute pancreatitis is a rare complication of MSF. We report a 45 year old man admitted with fever, maculopapular rash, and eschar (tache noire). The working diagnosis at admission was MSF. Five day after admission, the patient developed signs of an acute abdomen, amylase and lipase elevation, and ultrasound hypoechoic pancreas. CT scan revealed a stage B pancreatitis. An immunofluorescence antibody test confirmed Rickettsia conorii infection. Diagnosis of MSF was made and treatment with oral doxycycline was started. After five days of therapy, there was completed remission of epigastric pain and fever. Gastrointestinal and hepatic complications are described in association with MSF. Much rarer is pancreatic involvement. Inflammation may play a role in the pathogenesis of pancreatitis. This suggests that pancreas should be explored in MSF patients even in the absence of underlying risk factors.

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Section: Discussionmentioning

confidence: 99%

Mediterranean Spotted Fever with an Acute Pancreatitis

ELFane¹,

Sodqi²,

Jebbar³

2016

J Antimicrob Agents

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“…O manejo da dor é frequente na prática médica e, quando correto, está associado a menor tempo de hospitalização e uso de analgésicos (1,2). Apesar disso, a maioria dos cursos de medicina abordam o tema de forma superficial durante a graduação, levando à insegurança desses futuros profissionais no manejo dessa queixa (3).…”

Section: Introductionunclassified

Conhecimento sobre dor entre estudantes de medicina de uma universidade de São Paulo

De Oliveira

2024

Arch. Health

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O manejo da dor é frequente na prática médica e, quando correto, está associado a menor tempo de hospitalização e uso de analgésicos (1,2). Apesar disso, a maioria dos cursos de medicina abordam o tema de forma superficial durante a graduação, levando à insegurança desses futuros profissionais no manejo dessa queixa (3). Objetivo: Avaliar o conhecimento sobre dor entre estudantes de medicina.

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